February 04, 2015
Inflammatory bowel disease (IBD) is a persistent inflammatory condition of the gastrointestinal system affecting over one million Americans. Treatment of IBD often requires altering a patient’s immune response and can increase the risk for infectious complications. To help prevent this, the American Gastroenterological Association and the Crohn’s and Colitis Foundation have published immunization guidelines for IBD patients. Despite these recommendations, less than half of IBD patients are up-to-date on their recommended immunizations. Studies show that the most common reason for missing vaccinations is the lack of awareness that immunizations are safe and recommended.
If you are immune-suppressed, inactivated vaccines are safe and should be given. I would recommend:
November 20, 2013
Gluten is a hot topic these days, and is hitting the headlines again. Why? At the American College of Allergy, Asthma, and Immunology annual meeting, Dr. David Stukus (a pediatric allergist) set out to clarify frequent myths that he encounters in his practice. So, why is he saying that gluten allergies do not exist?
Gluten is a protein found in foods processed from wheat and related grain products. In celiac sprue (affecting up to 1% of adults), gluten intake leads to damage of the small intestine, impairing its ability to absorb nutrients. I like to imagine that a healthy small intestine is like a shag carpet, and small intestine affected by active celiac sprue is more like a tile floor. Celiac sprue is not a gluten allergy, but rather an autoimmune condition where the gluten is trigger...
March 18, 2013
In March, we commemorate National Colorectal Cancer Awareness Month.
To do so, we take the time to recognize the second leading cause of cancer death in the United States. We honor loved ones who have been affected by colorectal cancer and raise awareness about colorectal cancer with the hopes to decrease the number of people dying from this disease.
What causes colorectal cancer?
There are a variety of genetic and environmental factors that contribute to the development of colon polyps. Only a small fraction of adenomatous colon polyps develop into colorectal cancer, but nearly all colorectal cancers arise from an adenomatous polyp. The role of colonoscopy is to identify and eradicate any adenomatous polyps so as to minimize future risk of colorectal cancer.
Several studies show that obesity increases your risk of developing colorectal cancer by 1.5 times. Cigarette smoking and moderate-to-heavy alcohol use also increase colorectal cancer risk. Th...
March 04, 2013
This past week, Britain’s Queen Elizabeth II was hospitalized with a “stomach bug”. Gastroenteritis (also called the “stomach flu”) is the second most common illness in the United States. So, chances are good that your family has been affected by gastroenteritis already this year!
What are the symptoms of gastroenteritis?
Gastroenteritis is inflammation of the stomach and intestines causing symptoms of diarrhea, vomiting, cramping, and fever. If a person is not able to keep up with fluid losses from diarrhea and vomiting, then they can become dehydrated. Gastroenteritis occurs year-round and affects people of all ages. Those who are young, old, or have a suppressed immune system are more susceptible to severe gastroenteritis and to dehydration.
What causes gastroenteritis?
The majority of cases are caused by a viral infection (occasionally, a bacterial infection) transmitted through contact with another sick...
December 26, 2012
We have come upon the time of year when we reflect back on the events of 2012 and look forward to new beginnings in 2013. About 45% of Americans make New Year’s resolutions every year and frequently these resolutions are health-related.
Why not let 2013 be the year you resolve to be updated on colorectal cancer screening?
Why should I worry about colorectal cancer?
Colorectal cancer is the second leading cause of cancer death in the United States. The average lifetime risk of developing colorectal cancer is about 5%. In the colon, cancer usually arises over time from abnormal polyps, called adenomas. This provides us the rare and life-saving opportunity to intervene and remove polyps to prevent cancer from developing. Pre-cancerous polyps or early cancers do not always cause symptoms, highlighting the need for routine screening.
Simply stated, there are large studies showing that screening for colorectal cancer prevents cancer. Screeni...